CARLY SUE KRUSE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153485

License Status

ACTIVE

Business

Title

First Name

CARLY

Middle

SUE

Last Name

KRUSE

Business Name

CARLY SUE KRUSE MD

Original Issue Date

06/25/2020

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

06/09/2025